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Published on: October 11, 2024
Temporal adaptation approach in stroke rehabilitation: a randomized controlled one-month follow-up study
İbrahim Yavuz Tatlı1, Gamze Ekici2, Burcu Semin Akel3
1Faculty of Health Sciences, Department of Occupational Therapy, Kütahya Health Sciences University, Kütahya, Türkiye.
Brain Injury
|May 20, 2026
Summary
The Temporal Adaptation Approach (TAA) improved occupational performance, satisfaction, and balance in chronic stroke patients. This structured time use intervention supports long-term recovery and daily life autonomy.
Area of Science:
- Occupational therapy
- Rehabilitation science
- Neuroscience
Background:
- Temporal adaptation provides a framework for understanding time use in occupational therapy.
- Effective time management is crucial for individuals recovering from chronic conditions.
Purpose of the Study:
- To evaluate the Temporal Adaptation Approach (TAA) for improving occupational performance, satisfaction, and balance in chronic stroke survivors.
- To assess the long-term effectiveness of structured time use in stroke rehabilitation.
Main Methods:
- A randomized controlled trial involving 54 participants with chronic stroke (≥6 months post-stroke).
- Intervention group received a six-week TAA program focusing on scheduling meaningful occupations, followed by a one-month follow-up.
- Control group received a standard home program. Outcomes measured using the Canadian Occupational Performance Measure (COPM) and Occupational Balance Questionnaire (OBQ).
Main Results:
- Significant Time × Group interactions were found for COPM Performance, Satisfaction, and OBQ scores (p < 0.01).
- The TAA group demonstrated significantly greater improvements from baseline to post-intervention and follow-up compared to the control group.
- These findings highlight the efficacy of TAA in enhancing key aspects of occupational functioning.
Conclusions:
- The Temporal Adaptation Approach (TAA) effectively enhances occupational performance, satisfaction, and balance in individuals with chronic stroke.
- Structured scheduling of meaningful occupations through TAA may promote sustained functional recovery and autonomy.
- TAA represents a valuable intervention for stroke rehabilitation, supporting clients' return to meaningful daily activities.
